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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42&257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.C..11 P�RM�T A <br />' 'll�'" ._-! sctl� EwrlFwa �'�aou DONyzqno:'b�6bD �''%'/C', �'� l <br />LE LOT NO. BLOCK TRACT � / r— _ <br />DESQ `a2� 4� � p� r'lca.:o �:,-•- Q�� �'tCNPM �ar-�'_.._.. <br />i- S'i � <br />TElIANT <br />� <br />IJ�nI� :�L-l.- '7��'%� W[S/`I <br />CONTACT FOR PERMIT <br />�f '� <br />� J�ton t�c[v� <br />---�-- _ <br />/''1 �eL iciM,�,.I�L , <br />CONiR.UCFN3E�M0�eL� I' <br />USE OF BUILDING <br />, <br />L��:. vf�%'�' cL� :�ovsc <br />ADORE38 <br />I'a3 .�Jewel( s1. <br />HEATSOURCF <br />��1M <br />(;r aia�g•a4Sy <br />PHONE <br />� (�06� ?l�'-oZ�Ts�' <br />CITM/Z1P PNONE <br />,�A�.,�, ��la� aob -�pa-�15o <br />� eiearic _ cas _ ane� <br />CONTRACT PRICE OF WORK <br />��'���� <br />WORK DE3CRIF'TION 1 / <br />�r4m�..G n.n Str����Y� wA��S �s crel+e �t+Ia !1<vV n���c.� a�'tas GVi�n��y1 <br />l <br />J�c i:o� . � ►�oo ��•t . <br />PLUIWBING <br />NO. � TYPE OF FIXTUItE OR ITEM <br />ioilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (sarvice/ber/rnop/elc ) <br />Bachflow preventer <br />Unn�l <br />Drinking Founlain <br />Fl,.or drain <br />Grease Irep <br />Rool drains <br />Other <br />MECHANICAL <br />NO. I TYPE OF FIl(TURE OR ITEM <br />AIC — air handGng units <br />Forced air systems <br />Ges piping <br />Watm heater <br />Gas fireplace , <br />Gas range � <br />Clolhes dryer <br />Range hood � j� � , <br />Exhaustfan ����'.� ���, <br />Heal pump <br />Unit heater <br />Bdler � �� <br />ReMgeretbn . . � � <br />Woodslove <br />CITY OF EVERETT LOCAL 8ALE8 TA)( COOE IS 7106 <br />I hereby ceritity Ihat 1 have read and examined this applica�ion aM know the same to be true end cortect. All provfsiona of lewa end <br />ordinaces govemirg this type of work�be co(npl�ed w��h ufielher specif�ed herein a not. The grmting ol e permit doas not presume <br />to g�ve authoriry to violate a cance the p way6n ql any oths � stste or local lew requlating constn�ati�� a the perfartnance ol <br />cons�niction ThFlt I em aufhorizeQ�y ow��ef o(this pro��rty to perlortn lhe worfc for which applicaUon Is made and I comply wi�h tt�e <br />Sle�e CoMra La�827 RCW 'f9�.:00 WAC <br />_ ,� <br />� [� C';. <br />igneWre o Ari � pUacta . 9� �Tee� �'{9e�1 I �,5/ <br />